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STATE OF CALIFORNIA <br /> DEPARTME14T OF FOOD AND AGRICULTURE <br /> PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> MONTH 1 YEAR 2 <br /> NURSERY 3 <br /> Page of <br /> OPERATOR ID/PERMIT NO. OPERATOR (GROWER) ADDRESS CITY ZIp CODE <br /> 4 -00 - � e D 0 i 6 <br /> SITE 1D NO. TOTAL PLANTED ACREAGE/UNITS COUNTY NO. SECTION TOWNSHIP RANGE BASE & MERIDIAN <br /> 9 10 11 1 12 13 5 1q 7 W lg $ M H <br /> COMMODITY/SITE TREATED FIELD LOCATI <br /> 17 PCY�I - is r ZCCTC <br /> CHEMICAL DAYE/TIME 1:REAGE/UNITS APP. BLOCK ID EPA/CALIF, REG. NO. FROM LABEL TOTAL DAYS RATE DILUTION I RODUCY/MAtkFACTURER <br /> NUMBER APPLICATION TREATED METH. IIF PRODUCT USED REENTRY PER ACRE <br /> COMPLETED 1CHECK APPLICABLE) <br /> ONE) (GIRDLE ONE UNIT <br /> 21 22 2:.7 24 25 26 <br /> 27 OF MEASURE) 28 29 1 <br /> GR <br /> AIR ❑ �Q � .� x i-Ji B Z PT QT GA <br /> V j l R J <br /> OTHER❑ <br /> // GRAIR Li <br /> OTHER❑ 13 111):5,- /j 9 LB Z PT COT GA !O <br /> GR J'a <br /> AIR ❑ <br /> '� <br /> t- a� OTHER❑ — B Z PT QT GA <br /> GR <br /> AIR ElO[�_ O <br /> OTHER❑ "'�a��� 1-13(6?PT OT GA a/ <br /> GR je <br /> AIR LJ <br /> O HER❑ q 7"�I r! 1 9 Z PT QT GA <br /> GR El <br /> AIR ❑ <br /> OTHER❑ LB OZ PT QT GA <br /> GR ❑ <br /> AIR 0 <br /> OTHER C) L9 OS PT OT GA <br /> GR Cl <br /> AIR ❑ <br /> OTHER❑ LB OZ PT QT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> GR [] <br /> AIR ❑ <br /> OTHER❑ LB OZ PT QT GA <br /> GR L] <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ - LB OZ PT OT GA <br /> GR ❑ <br /> AIR 0 <br /> OTHER Q LB OZ PT OT GA <br /> REPORT PREPARED BY L DATE "' a REVIEWED.BY <br /> (1) CAC Submit to Agricultural Commissioner within 10 days of month following application 33-017C (3190) For Agency Use Only <br />